Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAVERN GRAHAM, STUDENT
Active Sole ProprietorLAVERN GRAHAM, STUDENT is a Student (Health Education/Training) healthcare provider located in GORDONVILLE, Texas. NPI 1104287499 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · GORDONVILLE, TX
Registration Details
- NPI Number
- 1104287499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2016 (10.376799334688 yrs)
- Last Updated
- Mar 14, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
43 PLUM LNGORDONVILLE, TX, 762452342Browse TX providers · Browse ZIP 76245
- Phone
- 9036511803
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.